第一步:风险揭露声明      第二步:个人信息填写     第三步:传送身份证明
Note 注意: 1. All Chinese text provided serve reference purpose only. Any dispute will defer to English. 所有中文注释仅供参考, 无法律效用 2. Please use English or Pin Yin to fill out the form. 请用英语或者拼音填写表格. 3. Withholding certain necessary information may delay the opening of the Customer’s account. 保密某些重要信息可能延缓开户审核。
INDIVIDUAL ACCOUNT HOLDER INFORMATION客户信息
First Name 名	Last Name 姓
Date of Birth 生日	Gender 性别	Marital Status 婚姻状况
Month 月 January 一月 February 二月 March 三月 April 四月 May 五月 June 六月 July 七月 August 八月 September 九月 October 十月 November 十一月 December 十二月 Day 日 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 年 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 1919 1918 1917 1916 1915 1914 1913 1912 1911 1910 1909 1908 1907 1906 1905 1904 1903 1902 1901 1900 1899 1898 1897 1896 1895 1894 1893 1892 1891 1890 1889	Male 男 Female 女	Single 单身 Married 已婚
Street Address 地址
City 城市	State 州	Zip 邮编
Province 省	Country 国家
	Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antartica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia-Herzebovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Carribean Cayman Islands Central African Republic Central America Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Estonia Ethiopia Faeroe Islands Falkland Islands (Malvinas) Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatamala Guernsey C.I. Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey C.I. Jordan Kenya Khazakhstan Kiribati Korea Kuwait Kyrgyzstan Lao People's Dem. Republic of Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxemborg Macau Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Micronesia Fed States of Moldova Republic of Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherland Antilles Netherlands Neutral Zone (Saudi/Iraq) New Caledonia New Zealand Nieu Niger Nigeria Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Panama Canal Zone Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon St. Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syrian Arab Republic Taiwan Tajikistan Tanzania United Republic of Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Island UAE US Minor Outlying Islands Uganda Ukraine United Kingdom United States Uruguay Uzbekistan Vanatu Vatican City State Venezuala Viet Nam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Islands Western Sahara Yemen Republic of Yugoslavia Zaire Zambia Zimbabwe
Telephone number 电话	Fax Number 传真
SSN or Passport Number 非美国公民填身份证号码	Citizenship: U.S. Citizen? 是美国公民吗?
	Yes 是 No 否 If No, 是哪国公民?:
Email 电子邮件地址	Re-Type Email 重复输入电子邮件地址
(Please print clearly as your e-mail address on this Account Application Form will be the medium used to contact you, following the receipt of this application （请清楚填写您的电子邮件地址，因为我们将 使用您在此填写的电子信箱地址来和您进行联系）
BANK INFORMATION/银行信息
BANK NAME 银行名称:
BANK ADDRESS 银行地址:
ABA/SWIFT ABA或国际汇款代码号码:
ACCOUNT NUMBER 银行账户号码:
BENEFICIARY NAME 开户人:
If a non US bank, please include the US correspondent bank information 如非美国银行，请包括其美国合作银行信息: (可不填)
The following financial information is required to open your account and will be kept confidential by IFX Markets Inc. in accordance with the Customer Trading Agreement. All questions MUST be answered. 开户需要以下财务信息，IFX将依据客户交易协议为该信息保密。所有问题都必须回答。
EMPLOYMENT INFORMATION/工作情况
Employment Status 工作情况	Annual Salary 年收入
Employed 雇佣 Self-Employed自由职业 Retired 退休 Unemployed 失业	over $100,000 100,000美元以上 $50,000 - $100,000 50,000-100,000美元 $25,000 - $50,000 25,000-50,000美元 less than $25,000 25,000美元以下
	Less than $25,000 (Sign “Additional Risk Disclosure”) 少于 25000美元须签额外风险保证
Occupation 职业	Employer 工作单位
TOTAL ASSETS/财务资料
Total Annual Income 年收入	over $100,000 100,000美元以上 $50,000 - $100,000 50,000-100,000美元 $25,000 - $50,000 25,000-50,000美元 less than $25,000 25,000美元以下
Net Worth (Excluding Primary Residence) 净资产:	over $100,000 100,000美元以上 $50,000 - $100,000 50,000-100,000美元 $25,000 - $50,000 25,000-50,000美元 less than $25,000 25,000美元以下
Total Liquid Assets 流动资产 Less than $25,000 (Sign “Additional Risk Disclosure”) 以上三项如有选择少于25000美元，则须签署额外风险保证	over $100,000 100,000美元以上 $50,000 - $100,000 50,000-100,000美元 $25,000 - $50,000 25,000-50,000美元 less than $25,000 25,000美元以下
Total Outstanding Debt 未清债务	over $100,000 100,000美元以上 $50,000 - $100,000 50,000-100,000美元 $25,000 - $50,000 25,000-50,000美元 less than $25,000 25,000美元以下
Have you ever defaulted on a financial obligation? 您有否金融拖欠？ (If yes, please provide details on separate sheet) 有（如选“有”，请另提供详细资料说明）	Yes 有 No 没有
Have you ever declared Bankruptcy? 您有无宣布破产？ If yes, please provide a copy of your Order of Discharge) （如选“有”，请提供一份破产解除令的复印件）	Yes 有 No 没有
Will any portion of your investment be retirement income? 您的投资资金里是否有来自退休金？ (If yes, please see “Additional Risk Disclosure”) 是（如选“是”，请签署额外风险保证）	Yes 是 No 否
INVESTING EXPERIENCE/投资经验
What is the highest level of education you have completed? 您的最高学历？	No degree 没有学历 High School or equivalent 高中或同等学校 Associates Degree 大专 Bachelors Degree 本科 Graduate Degree 研究生
Are you a money manager? 您是否是资金管理者？	Yes 是 No 否
Are you or have you ever been a member of the National Futures Association (NFA) or the National Association of Securities Dealers (NASD) ? 您是否曾是NFA或NASD的成员?	Yes 是 No 否
Investment Experience? 投资经验	Yes/No　  Years 是/否 　 　年份
a) Securities (Stocks and Bonds) 证券	Yes 是 No 否 1 2 3 4 5+
b) Commodities (Excluding Over the Counter　Foreign Exchange Trading) 期货（不包括外汇）	Yes 是 No 否 1 2 3 4 5+
c) Commodities (Including Over the Counter Foreign Exchange Trading) 期货（包括外汇）	Yes 是 No 否 1 2 3 4 5+
d) Futures 期货	Yes 是 No 否 1 2 3 4 5+
e) Options 期权	Yes 是 No 否 1 2 3 4 5+
f) Hedge Funds 对冲基金	Yes 是 No 否 1 2 3 4 5+
g) Mutual Funds 共同基金	Yes 是 No 否 1 2 3 4 5+
Do you understand: 您是否理解以下内容:
a) Foreign Currency Trading   外汇交易	Yes 是 No 否
b) Risk of Loss (Including the risk of total loss of investment) 风险	Yes 是 No 否
c) Margin and Margin Calls 保证金通知	Yes 是 No 否
d) Commerce’s Margin Policy 保证金政策	Yes 是 No 否
Have you ever been a party in an investigation, complaint, settlement, arbitration proceeding or reparations proceeding with the NASD, NFA, CFTC or FDIC? 您曾经会晤过NASD, NFA, CFTC or FDIC吗？ (If yes, please describe) （若“有”请描述）	Yes 是 No 否
Have you ever filed a complaint against a Foreign Exchange Dealer, Securities Broker or Commodities Dealer? 您曾经抱怨过外汇经纪商，或期货交易商吗？ (If yes, please describe) （若“有”请描述）	Yes 是 No 否
Do you have any other accounts with IFX Markets Inc. or at its parent company, IFX Group plc? 您是否在IFX有其它帐号？	Yes 是 No 否
Are you subject to backup withholding taxes提前缴税?	Yes 是 No 否
IF introduced by an introducing broker? 是否由经纪商介绍? 如果有,请填写经纪商编号.
Name of the introducing Broker(经纪商编号):
Commissions Charged:(佣金):
请仔细阅读以下声明.
By clicking SUBMIT below, I hereby represent that the information provided by me on the customer information section of this packet is true and correct. I further represent that I will notify IFX of any material changes in writing. IFX reserves the right, but has no duty, to verify the accuracy of information provided, and to contact such bankers, brokers and others as it deems necessary. By clicking SUBMIT below, I acknowledge that this is a legally binding contractual agreement. I have read it carefully, and by submitting this agreement application, I agree to be bound by every term and condition. No modification of this Agreement is valid unless accepted by IFX in writing. I confirm that I have downloaded a full set of account documents from your website and I have not made any alterations or deletions to this agreement or any such documents from the original forms posted on the website. In the event that there are any alterations or deletions to this agreement or any such documents such alteration and deletions shall not be binding on you and said original forms shall govern Trader account relationship with IFX. 按发送键等于表明我所提供的所有信息是正确的. 并且我同意如果任何以上所填的信息有所改变, 我会立即通知IFX. IFX有权利, 但是没有义务和您所填写的银行, 经纪人等确认以上信息的正确性. 按发送键等于表明我懂得这是合法的协定. 我已仔细阅读, 在发送这份电子合约后我同意这份协定的所有条款.没有IFX的书面许可,对这项合约的任何修改是无效的.我确认我已从你们的网站上下载了有关协议书, 并且没有对下载的原件进行任何修改.由于对此协议书的不同语言翻译, 任何由于语言关系对此协议书的修改将无法律效用. 请参照英语原文.